Brookhill ACH Authorization Form

Membership payment plan.

  • Instructions

    The Direct Payment Plan for the 2027 season will allow you to have monthly payments for your membership be automatically deducted from your checking account. You must sign a new agreement every year to participate. Your payments will be automatically withdrawn by Access Bank starting on September 1, 2026 and ending May 1, 2027. Proof of your payment will appear on your bank statement. The authority you give to charge your account will remain in effect until the final payment or you notify us in writing to terminate the authorization. If you have any questions please send us an email at [email protected].
  • Accepted file types: jpg, jpeg, png, gif.
  • Clear Signature
  • Price: $0.00